Provider Demographics
NPI:1376360743
Name:REDWOOD CAREGIVING ALLIANCE, INC.
Entity type:Organization
Organization Name:REDWOOD CAREGIVING ALLIANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, VP, ALT ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:JARAVATA
Authorized Official - Last Name:SWEENY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-428-2629
Mailing Address - Street 1:1411 PINE FLAT RD
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-9711
Mailing Address - Country:US
Mailing Address - Phone:831-428-2629
Mailing Address - Fax:831-401-2307
Practice Address - Street 1:1411 PINE FLAT RD
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-9711
Practice Address - Country:US
Practice Address - Phone:831-428-2629
Practice Address - Fax:831-401-2307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care